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Entry Level Risk Adjustment Coder Jobs in Rochester, NY

ELS

Platform Operations Analyst

Rochester, NY · On-site

$101K/yr

Identify additions to scope that will necessitate adjustment to IT resources or timeline. * Assist ... Build and deliver solutions within a platform, using no-code/low~code tools and concepts * Fully ...

Avantor, Inc.

Material Handler

Rochester, NY · On-site

$16.50 - $20/hr

Experience: entry level 0-1 year experience - Open to those who are eager to start their career in ... May key inventory adjustments in computer. * Other Duties: Repack or re-box cases per customer ...

AMRESCO

Material Handler

Rochester, NY · On-site

$16.50 - $20/hr

Experience:entry level 0-1 year experience - Open to those who are eager to start their career in ... May key inventory adjustments in computer. * Other Duties: Repack or re-box cases per customer ...

VWR, part of Avantor

Material Handler

Rochester, NY · On-site

$16.50 - $20/hr

Experience: entry level 0-1 year experience - Open to those who are eager to start their career in ... May key inventory adjustments in computer. * Other Duties: Repack or re-box cases per customer ...

Avantor Inc.

Material Handler

Rochester, NY · On-site

$16.50 - $20/hr

Experience:entry level 0-1 year experience - Open to those who are eager to start their career in ... May key inventory adjustments in computer. * Other Duties: Repack or re-box cases per customer ...

Avantor Fluid Handling, LLC

Material Handler

Rochester, NY · On-site

$16.50 - $20/hr

Experience:entry level 0-1 year experience - Open to those who are eager to start their career in ... May key inventory adjustments in computer. * Other Duties: Repack or re-box cases per customer ...

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Entry Level Risk Adjustment Coder information

See Rochester, NY salary details

$15

$27

$42

How much do entry level risk adjustment coder jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for entry level risk adjustment coder in Rochester, NY is $27.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $34.13 per hour, depending on experience, location, and employer.

What is an entry level risk adjustment coder?

An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.

What does an entry level risk adjustment coder do?

A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.

What are the key skills and qualifications needed to thrive as an entry level risk adjustment coder?

To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.

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For Entry Level Risk Adjustment Coder jobs in Rochester, NY, the most frequently searched job titles are:

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Entry Level Risk Adjustment Coder jobs near you

Risk Adjustment Quality Specialist

100 Lawrence Memorial Hospital

Rochester, NY • On-site

$70 - $90/hr

Other

Posted 3 days ago

New

Key responsibilities

  • Perform comprehensive reviews of patient medical records to assess documentation consistency and adequacy, identifying appropriate coding based on CMS HCC categories.

  • Manage the provider query process to clarify documentation and ensure completeness and accuracy of patient diagnoses, especially for chronic conditions.

  • Analyze performance data to identify trends, gaps, and opportunities for improvement.

Job description

Job Summary

The Risk Adjustment Quality Specialist coordinates and supports prospective, concurrent, and retrospective reviews to assist with patient care management. The role provides education and facilitates chart retrieval for Health Plan audits and reports. It requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data. The specialist assists with monitoring quality program performance, including tracking, reporting, and implementation of best practices and program requirements.

Essential Job Responsibilities
  • Perform comprehensive reviews of patient medical records to assess documentation consistency and adequacy, identifying appropriate coding based on CMS HCC categories.
  • Monitor revenue opportunities related to value‑based care.
  • Manage the provider query process to clarify documentation and ensure completeness and accuracy of patient diagnoses, especially for chronic conditions.
  • Use evidence‑based practices to provide providers with targeted feedback and education on improving documentation and coding accuracy related to HCC.
  • Demonstrate analytical and problem‑solving ability to address barriers in receiving and validating accurate HCC information.
  • Analyze performance data to identify trends, gaps, and opportunities for improvement.
  • Maintain an intermediate to advanced understanding of claims processing procedures, state and federal regulations, and Medicare Part D requirements.
  • Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
  • Collaborate with medical staff to clarify documentation and support accurate coding and reimbursement.
  • Participate in audits, quality reviews and continuous‑improvement initiatives.
  • Educate staff on coding practices and HCC assignments.
  • Maintain compliance with policies, procedures, and continuing‑education requirements.
  • Perform additional duties as needed or assigned.
Job Qualifications
  • Minimum 3 years of experience in medical coding or risk adjustment with a focus on Hierarchical Condition Categories, value‑based care contracts, and accountable care organizations.
  • Strong knowledge of CMS risk‑adjustment and quality initiatives, including HCCs.
  • Completion of an AHIMA accredited certificate program (e.g., Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator) or credential from AAPC.
  • Preferred: Registered Nurse Associate or Bachelor’s Degree in Health Information Management.
  • Experience with 3M Coding Solution knowledge.
  • Hybrid work flexibility: must reside in Kansas or Missouri and attend on‑site meetings as scheduled.
Benefits
  • Competitive pay and advancement potential.
  • Tuition reimbursement to support continuing education.
  • Professional development and recognition.
  • Excellent benefits package.

We are an equal‑opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

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